Individual
ALLEN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4434 I ST, PHILADELPHIA, PA 19124-3812
(267) 231-8988
Mailing address
4434 I ST, PHILADELPHIA, PA 19124-3812
(267) 231-8988
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
RT006011
PA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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